Exam 1 Flashcards
Kantianism
It’s not about consequences or end results that makes an action right or wrong.
-motive is what matters
-Denotology = Duty
Ex: A nurse saying that they are ethically making this choice because it is morally right and my duty to do so.
Utilitarianism
Determines what is right and wrong by focusing on outcomes.
- consequences are what matters
- consequentialism = consequences
Defense Mechanisms
- Sublimation - Rationalization
- Identification - Compensation
- Denial - Displacement
- intellectualization - Introjection
- Isolation - projection
- Reaction Formation - Regression
- Repression - Suppression
- Undoing
Sublimation
Rechanneling of impulses that are personally or socially unacceptable into activities that are constructive.
Ex: Mother whose son died in a drunk driver accident channels her anger and energy into becoming president of the Mothers against drunk drivers.
Rationalization
Attempting to make excuses or logical reason’s to justify unacceptable feelings or behaviors.
Ex: Telling rehab nurse the reason you drink is because of your bad marriage and bad job.
Identification
An attempt to increase self-worth by acquiring certain characteristics of an individual one admires.
Ex: When someone requires rehab for a long period of time, and decides to become a physical therapist as a result of their experience.
Compensation
Covering up a real or perceived weakness by emphasizing a trait one considers more desirable
Ex: A physically disabled boy is unable to play football so he compensates by becoming a great scholar
Denial
Refusing to believe or even perceive painful realities
Ex: a woman drinks alcohol every day, can’t stop, and does not acknowledge that she has a problem
Displacement
The transfer of feelings from one target to another that is considered less threatening or that is neutral.
Ex: a client is angry at his doctor, and does not express it; but becomes verbally aggressive with nurse
Intellectualization
An attempt to avoid expressing actual emotions associated with a stressful situation by using the intellectual processes of logic, reasoning, and analysis
Ex: Susan’s husband is being transferred to a new job to a city far from her parents. she hides anxiety by explaining to her parents the advantages associated with the move.
Introjection
Integrating the beliefs and values of another individual into one’s own ego structure
Ex: Children integrate their parents value system into the process of conscience formation. a child says to a friend, don’t cheat, its wrong.
Isolation
Separating a thought or memory from the feeling, tone, or emotion associated with it
Ex: a young woman describes being attacked and raped without showing any emotion
Projection
Attributing feelings or impulses unacceptable to one’s self to another person
Ex: person feels strong attraction to her track coach, and tells her friend “he is coming on to me”
Reaction Formation
Preventing unacceptable or undesirable thoughts/ behaviors from being expressed by exaggerating opposite thoughts or types of behaviors
Ex: Jana hates nursing but she attended nursing school to make her parents happy, during career day she speaks to prospective students about the excellence of nursing as a career
Regression
Responding to stress by retreating to an earlier level of development and the comfort measures associated with that level of functioning
Ex: When a 2 year old Jay is hospitalized for tonsillitis, he will drink only from a bottle, although his mother says he has been drinking from a cup for 6 months
Repression
Involuntarily pushing unpleasant feelings out of one’s mind
Ex: A trauma victim is unable to remember anything about the traumatic event
Suppression
The voluntary blocking of unpleasant feelings and experiences from ones awareness
Ex: someone saying “I don’t want to think about that now. I’ll think about that tomorrow”
Undoing
Symbolically negating or canceling out an experience that one finds intolerable
Ex: Joe is nervous about his new job and yells at his wife. On the way home he stops and buys her flowers
Mental illness
Maladaptive responses to stressors from the internal or external environment, evidenced by thoughts, feelings, and behaviors that are incompatible with the individuals social, occupational, and or physical functioning
-some are affected, not all are.
Ethical egoism
Ethical position that moral agents ought to do what is in their own self-interest. The decision may not be what’s best for anyone else involved. but consideration is only for the individual making the decision
Autonomy
The right or condition of self-government
Beneficence
Addresses the idea that the nurses action is for the best of the patient
Nonmaleficence
To do no harm
Justice
Fairness
Veracity
To remain truthful with the patient no matter what the outcome is
False Imprisonment
Restraining an individual or restricting an individual’s freedom
Voluntary commitment
Admitting oneself to a mental health institution
Involuntary commitment
Legal process by which a person is confined in a psychiatric hospital because of a treatable mental disorder, against his or her wishes.
Milieu therapy
Psychotherapy in which the patient’s social environment is controlled or manipulated with a view to preventing self-destructive behavior.
Antidepressants
A class of psychotropic medications used for the treatment of depression side effects: nausea, increased appetite, weight gain, fatigue, drowsiness
Anticonvulsants
Used in the treatment of bipolar disorder and borderline personality disorder;
drugs used to treat mania and depression
side effects: Dizziness, Drowsiness, Fatigue, Nausea, Tremor, Rash, Weight gain
Antipsychotic drugs
Medications that are used to treat schizophrenia and related psychotic disorders
side effects: Dizziness or blurry vision, Drowsiness, Sexual challenges, weight gain
Anxiolytics
Drugs that reduce anxiety
side effects: Drowsiness, Sedation, Confusion, Dependence and withdrawal symptoms
Stimulants
Drugs that speed up the central nervous system
side effects: Loss of appetite
Increased wakefulness and physical activity
Improved attention
Increased sexual desire and performance
Mood stabilizers
Drugs used to control mood swings in patients with bipolar mood disorders side effects: Nausea Diarrhea Dizziness Muscle weakness
Dimensions of recovery
Health: make a informative healthy choice
Home: safe place
Purpose: like school, or a job
Community: social life for support
Negligence
Failure to exercise the care that a reasonably prudent person would exercise in like circumstances.
Battery
Unlawful touching of another person without consent
Assault
Threat or attempt to injure
Compassion
Sympathetic pity and concern for the sufferings or misfortunes of others.
“the victims should be treated with compassion”
Empathy
the ability to understand and share the feelings of another
Pre-interaction phase
- occurs before meeting the patient
- prepping & looking at patients report
- examining our own feelings about working with a particular patient
Orientation phase
- creating an environment for establishing trust and rapport
- identifying pt. strengths & limitations
- developing a plan of action
Working phase
-continuously evaluating progress toward goals
Termination phase
- the mutually agreed on goal was met
- pt is being discharged
Rapport
mutual understanding and harmony
Trust
belief someone is reliable
Respect
someone or something is good & valuable and important
Genuineness’
quality of being what someone says you are; authentic
Touch is appropriate when
providing care & asked permission
As a nurse you can show the patient that you care without touching by
-by meeting the needs of the pt
Non-verbal communication
- body movement and posture
- facial expressions
- vocal cues/paralanguage
Pre-existing conditions that affect communication
- values, attitudes, beliefs
- culture or religion
- social status
- gender
- age or developmental level
- environment
Non-verbal communication
Communicating without the use of words. can be through
- physical appearance & dress
- body movement and posture
- touch
- facial expressions
- eye behavior
- vocal cues/paralanguage